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General NPI Number Information
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NPI Number | 1275294241
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Entity Type | Organization
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Legal Business Name | AMERICAN GROUP REHABILITATION INC.
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Dates
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Enumeration Date | 01/03/2022
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Last Update Date | 03/30/2022
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Provider Practice Location Address
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Address Line | 10240 SW 56TH ST STE 105
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City | MIAMI
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State | FL
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Zip | 33165-7066
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Country | US
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Telephone | 305-418-2385
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Fax | 305-418-1888
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Provider Business Mailing Address
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Address Line | 10305 NW 41ST ST STE 107
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City | DORAL
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State | FL
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Zip | 33178-2975
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Country | US
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Telephone | 305-418-2385
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Fax | 305-418-1888
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Authorized Official
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Title or Position | PRESIDENT
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Name | YUSNIEL MARIN
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Credential | LMT
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Telephone | 305-418-2385
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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